PEDIATRIC BITES AND STINGS

Transcription

1 This protocol includes the treatment for snake and spider bites, dog and cat bites, insect stings, marine animal envenomations and stings. All bites should be transported to the hospital. Snake Bites 2. Consider need for Pediatric Protocol Allergic Reactions/Anaphylaxis. 3. Splint affected area, place patient supine with extremities at a neutral level, keep patient quiet, remove and secure all jewelry. 4. Wash area of bite with copious amounts of water. 5. Attempt to identify snake, if safe to do so. 6. Check temperature and pulse distal to bite on extremity and mark level of swelling and time with pen every 15 minutes. 8. Refer to Pediatric Protocol for Pain Management. Page 1 of 6

2 Dog and Cat and Wild Animal Bites 2. Wound care - BLS (do not use hydrogen peroxide on deep puncture wounds or wounds exposing fat). 3. Advise dispatch to contact animal control and law enforcement for identification and quarantine of animal. 5. Refer to Pediatric Protocol for Pain Management. Insect Stings (including: Centipedes, Scorpions and Spiders) 2. Consider need for Pediatric Protocol Allergic Reactions/ Anaphylaxis. 3. Remove stinger by scraping skin with edge of flat surface (e.g. credit card). Page 2 of 6

3 Do not attempt to pull stinger out, as this may release more venom. 4. Clean area with soap and water. 6. Refer to Pediatric Protocol for Pain Management. Marine Animal Envenomations Stingray Scorpionfish (Lionfish, Zebrafish, Stonefish) Catfish Weeverfish Starfish Sea Urchin 2. Consider need for Pediatric Protocol Allergic Reactions/ Anaphylaxis. 3. Immerse the punctures in nonscalding hot water to tolerance ( degrees F) to achieve pain relief (30-90 minutes). Transport should not be delayed, immersion in nonscalding hot water may be continued during transport. 4. Remove any visible pieces of the spine(s) or sheath. Gently wash wound with Page 3 of 6

4 soap and water, then irrigate vigorously with fresh water (avoid scrubbing). 6. Refer to Pediatric Protocol for Pain Management. Jellyfish Man-of-War Sea Nettle Irukandji Anemone Hydroid Fire Coral Marine Animal Stings 2. Consider need for Pediatric Protocol Allergic Reactions/ Anaphylaxis. 3. Rinse the skin with sea water (Do not use fresh water, do not apply ice, do not rub the skin). 4. Apply soaks of acetic acid 5% (vinegar) until pain is relieved. If vinegar is not available, use a paste of baking soda or unseasoned meat tenderizer. Page 4 of 6

5 5. Remove large tentacle fragments using forceps (use gloves to avoid contact with bare hands). 6. Apply a lather of shaving cream or a paste of baking soda and shave the affected area with edge of flat surface (e.g. credit card). 7. Apply heat pack to area. 9. Refer to Pediatric Protocol for Pain Management. Human Bites 2. Wound care - BLS (do not use hydrogen peroxide on deep puncture wounds or wounds exposing fat). Clean area with soap and water. 3. Advise dispatch to contact law enforcement for possible domestic. Page 5 of 6

6 PEDIATRIC 4. Refer to Pediatric Protocol for Pain Management. Page 6 of 6